Employee Request for Verification of Employment (Acrobat (fill-in))

Human Resources Division
PeopleLink Service Center
105 E. 17th St., 1st Floor
New York, NY 10003
Phone: 212-992-LINK (5465) / Fax: 212-995-4333
E-mail: [email protected]
Website: www.nyu.edu/peoplelink
Employee Request for Verification of Employment
Date:
To: HR Applications & Services
Please respond to a request to verify my employment.
The request is attached or was mailed to you.
OR
Please prepare a letter verifying the information checked below.
To:
For what purpose:
Verify the following information (check all that applies):
DATES OF EMPLOYMENT
HOUSING AUTHORITY FORM
SALARY
POSITION TITLE
HOME ADDRESS
SEE ATTACHED
OTHER
The University has my consent to submit the above information.
Print Name:
ServiceLink Case #:
Signature:
Date:
NYU ID#:
Ext. or Cell #:
In order to process this information as a service to you, please sign and date this form in the space
provided and return to NYU PeopleLink (see above for contact information).
Please be advised that no information will be released without this form.